Pro Active Chiropractic PC

NPI #1013483874 in Chicago, Illinois

Provider Information

NPI Number: 1013483874
Entity Type: Organization
Organization Name: Pro Active Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Oct 19, 2018
Last Updated: Feb 13, 2020

Practice Location

Address: 223 W JACKSON BLVD STE 1016
City: Chicago
State: Illinois
ZIP Code: 60606-6916
Phone: (708) 351-2011

Authorized Official

Name: DANA GARLAN RIEDERER, DC
Title: PRESIDENT
Phone: (708) 351-2011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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